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New Congregant Form

Congregant Information

Shalom and welcome to Congregation Shir Shalom of Westchester and Fairfield Counties.
We are delighted you have chosen to become part of our community.

Please enter all applicable information in this form for our records and to help us communicate with you.

Note: Your responses will be maintained by the Shir Shalom Office and used solely for administrative purposes. We do not disclose your information to third parties.

Children or Dependents In Household Under 26 Years of Age

Adult Children Not Residing In Your Home

Yahrzeit Observance

Please list the names of loved ones whose Yahrzeit you wish to have acknowledged during Shabbat worship services.

Please list the Name, Relationship to you and Date of Death. (Ex: Molly Rosen, mother of Sally, 1/1/2021)
If you do not have any Yahrzeit Observances, please skip below to Background Information section
Background Information
(Ex: Family, friends, Website, social media, Print ad, live nearby, if referred by a congregant-please include name)
Getting Involved

We are so happy that you have chosen to become part of OUR Shir Shalom community. Together we can do much. As a community we hope that you and your family will regularly attend services and participate in the many programs offered by Shir Shalom. We ask that you share your talents, interests and ideas with us and engage with our professional staff and lay leaders.  A Shir Shalom congregant will call upon you to extend a personal welcome. We look forward to meeting you soon.
CONGREGANT A: Please answer questions below
CONGREGANT B: Please answer questions below
Thank you for supporting Congregation Shir Shalom!
Fri, March 1 2024 21 Adar I 5784